Ganglion Cysts Unveiled: Causes, Symptoms, and Expert Solutions

Understanding Ganglion Cysts

Ganglion cysts, fluid-filled sacs, typically emerge on top of tendons or joint coverings in the wrist or hand. As the most prevalent form of soft-tissue growth in these areas, ganglion cysts may develop suddenly or gradually. While they are generally benign, they can exert pressure on nearby nerves, potentially causing pain, weakness, or numbness. The exact cause of ganglion cysts remains unknown, but they are more common in individuals with osteoarthritis, primarily affecting women aged 25 to 45. These cysts often form when the sheath surrounding a tendon or joint swells and fills with mucus.

Recognizing Signs of a Ganglion Cyst

Detecting a ganglion cyst involves identifying specific characteristics:

• Small Raised Lump: Typically, ganglion cysts manifest as a small raised lump filled with gel-like fluid.
• Various Locations: These cysts can appear in different areas, including the back of the wrist (most common), the front of the wrist, behind a fingernail, or on the palm at the base of a finger.

Tailored Treatment for Ganglion Cysts

Treatment for ganglion cysts becomes necessary when they cause discomfort, or for cosmetic reasons. In some cases, these cysts may resolve on their own. The choice of treatment depends on the cyst’s size and the severity of associated symptoms:

• Aspiration: This minimally invasive procedure involves draining the cyst’s fluid with a syringe. It may include a steroid injection to reduce inflammation. Immobilization with a splint may be advised, although recent studies suggest limited benefit from splinting.
• Surgery: Surgical intervention is recommended for painful cysts that hinder joint movement or induce tingling or numbness. Performed under local anesthesia, ganglion cyst surgery entails complete removal of the cyst and any attached tissue. Post-surgery, physical therapy may be prescribed to aid in hand or wrist rehabilitation. Surgical removal tends to reduce the cyst’s recurrence rate compared to aspiration.

At City Orthopaedics & Sports Medicine, we specialize in diagnosing and treating ganglion cysts, ensuring tailored solutions for your unique needs. Contact us for expert care, and experience our commitment to your well-being, providing you with effective ganglion cyst treatment and relief from discomfort.